Objective: To describe a breastfeeding theory based on King's Conceptual System. Method: Theoretical study that used analysis of concept, assertion synthesis, and derivation of theory for the creation of a new theory. Results: King's system components were associated with elements of the breastfeeding process and a middle-range theory was created, which describes, explains, predicts, and prescribes breastfeeding by analyzing factors that precede and affect it, as well as their consequences on the breastfeeding process. Conclusion: The Breastfeeding Interactive Model is abstract enough to be applied in different social, cultural, political, and economic contexts, because it conceptualizes breastfeeding in systemic, dynamic, and procedural aspects. Based on a conceptual model of nursing, it contributes to the scientific construction of the subject; however it can also potentially be applied by other professionals involved in breastfeeding assistance. Descriptors: Nursing Theory, Breastfeeding; Mother-Child Relations; Weaning; Women's Health; Child Health. RESUMO Objetivo: Descrever uma teoria de amamentação baseada no Modelo Conceitual de Sistemas Abertos de Imogene King. Método: Estudo teórico, que utilizou análise de conceito, síntese de afirmação e derivação de teoria para a elaboração da teoria. Resultados: Articularam-se os componentes do Modelo de King com os elementos do processo de amamentação e elaborou-se uma teoria de médio alcance, que descreve, explica, prediz e prescreve a amamentação, examinando os fatores que antecedem e influenciam, bem como as consequências no processo de amamentar. Conclusão: A Teoria Interativa de Amamentação é abstrata o suficiente para ser aplicada nos diferentes contextos sociais, culturais, políticos e econômicos, pois conceitua a amamentação na dimensão sistêmica, dinâmica e processual. Sua base em um modelo conceitual de Enfermagem contribui para a construção da ciência na disciplina, contudo tem potencial para aplicação por outros profissionais envolvidos na assistência à amamentação. Descritores: Teoria de Enfermagem; Aleitamento Materno; Relações Mãe-Filho; Desmame; Saúde da Mulher; Saúde da Criança. RESUMEN Objetivo: Describir una teoría de lactancia basada en el Modelo Conceptual de Sistemas Abiertos de Imogene King. Método: Estudio teórico, que utilizó análisis de concepto, síntesis de afirmación y derivación de teoría para la elaboración de la teoría. Resultados: Se articularon los componentes del Modelo de King con los elementos del proceso de lactancia, elaborándose una teoría de mediano alcance que describe, explica, predice y prescribe la lactancia, examinando los factores antecedentes con influencia. Así como las consecuencias del proceso de lactancia. Conclusión: La Teoría Interactiva de Lactancia es lo suficientemente abstracta como para aplicarla en los diferentes contextos sociales, culturales, políticos y económicos, pues conceptualiza la lactancia en su dimensión sistémica, dinámica y procesual. Su base en un modelo conceptual de Enfermería cont...

Objective: To discuss the contribution of nursing theories in the conceptual expansion of good practices in the area for the construction of the unified health system (Sistema Único de Saúde – SUS). Method: Theoretical production of reflection, based on the neomodern framework of philosophy of science. Results: The knowledge and political, social and epistemological commitments of nursing are discussed, highlighting the relationship of the theories with good practices for the construction and application of knowledge in the area in the context of the Brazilian health care system. Reflection on how middle-range theories can help in solving dichotomies between discipline, theory, practice, producers and consumers of knowledge is made. Conclusion: Original reflections on the contributions of disciplinary and professional knowledge of nursing theories to the creation of SUS are presented, defending a creation through the academy-service partnership, in which the theories start being incorporated into a new concept of nursing practices aligned to neomodern principles of science.

Objective: To describe the process of development and validation of a mobile application on foot assessment and risk classification of people with Diabetes mellitus. Methods: Methodological study, conducted in four stages: definition of requirements for and development of the conceptual model; generation of alternatives for implementation and prototyping; testing; and, implementation. The application was developed based on the national and international guidelines on Diabetes mellitus; it followed the standard of the Brazilian Association of Technical Standards for Software Engineering, and used the Intel XDK program for IOS and Android platforms. The product was evaluated by the development team for usability through the Nielsen heuristics, and validated by nurses regarding functionality, reliability, usability and efficiency aspects. Results: The CuidarTech mobile application "Foot examination" is composed of seven screens that integrate the elements for assessment and risk classification, and eight screens (forms) with the sequence of the examination. After its execution, a screen shows the risk classification and the clinical findings, with recommendations for each type of risk. Conclusion: According to the nurse experts, the application is functional, reliable, adequate, and efficient. ResumoObjetivo: Descrever o processo de desenvolvimento e validação de um aplicativo para dispositivos móveis sobre avaliação e classificação de risco dos pés de pessoas com Diabetes mellitus. Métodos: Estudo metodológico, realizado em quatro etapas: Definição de requisitos e elaboração do modelo conceitual; Geração das alternativas de implementação e prototipagem; Testes e Implementação. O aplicativo foi desenvolvido baseado nas diretrizes nacionais e internacionais sobre Diabetes mellitus; seguiu as normas da Associação Brasileira de Normas Técnicas para Engenharia de Software e utilizou o programa Intel XDK, para plataformas IOS e Android. O produto foi avaliado quanto a usabilidade pelas heurísticas de Nielsen, pela equipe de desenvolvimento e validado por enfermeiros quanto aos aspectos de funcionalidade, confiabilidade, usabilidade e eficiência. Resultados: O aplicativo móvel CuidarTech "Exame dos Pés" possui sete telas que integram os elementos para avaliação e classificação de risco e oito telas (formulários) com a sequência do exame, após sua execução aparece uma tela com a classificação de risco e os achados clínicos com as recomendações para cada tipo de risco. Conclusão: O aplicativo segundo avaliação dos juízes e enfermeiros é funcional, confiável, adequado e eficiente.

OBJECTIVE To assess scientific evidence about the effects of maternal nicotine on infant by an integrative review. DATA SOURCES Studies published in Portuguese, English and Spanish, from 1990 to 2009, with abstracts available in the Latin American Health Sciences Literature (Lilacs) and Medical Literature Analysis and Retrieval System On-Line (Medline) databases. The descriptors were: "breastfeeding", "lactation" and "smoking". DATA SYNTHESIS The main identified effects of nicotine on infants were: changes in sleep and wakefulness patterns; reduction of iodine supply; hystopathological damage on liver and lung; intracellular oxidative damage; reduction of pancreatic ß cells; and decreased glucose tolerance. CONCLUSIONS It is recommended to inform mothers about harmful chemicals contained in cigarettes that can be secreted into breast milk. They should be strongly encouraged to stop smoking during lactation.

OBJECTIVE: this study sought to assess the quality of the Family Health Strategy (FHS) and investigated the association between primary care attributes (PCAs) and the sociodemographic characteristics of users. METHOD: a total of 215 female FHS users were interviewed for this descriptive and cross-sectional study. The Primary Care Assessment Tool (PCATool), Adult Edition was used, and the results were analyzed using Fisher's exact tests, Pearson's chi-square tests and logistic regressions. RESULTS: the lowest average score corresponded to the dimension "accessibility" (1.80), and the highest score corresponded to "access" (8.76). The results corresponding to the attributes "longitudinality", "coordination", "comprehensiveness", and "orientation" were not significant. No association was found between the participants' sociodemographic characteristics and the essential, derivative, and general attributes (p>0.05). CONCLUSION: several attributes must be improved across all the investigated services from the perspective of female FHS users.

Objetivos: identificar en la literatura científica los principales factores asociados al destete temprano. Materiales y método: se trata de una revisión sistemática realizada en las bases de datos LILACS y MEDLINE con artículos completos del periodo de 2004 a 2013, en inglés, español y portugués, desde la pregunta orientadora: “¿Cuáles son los factores que influyen el destete temprano?”. Resultados: se identificaron 1.481 artículos y 39 atendieron a los criterios de inclusión. Entre los principales factores que influyen el destete temprano, se encontraron trabajo materno (33,3 %); uso de chupo de entretención (30,8 %); leche materna débil (17,9 %); trauma y dolor mamilar (17,9 %); introducción de otros tipos de leche (15,4 %) y nivel educacional de la madre o del padre (15,4 %). Conclusiones: diversos factores están relacionados al destete temprano, lo que apunta fuerte determinación sociocultural e histórica que se puede evidenciar por la comparación de los estándares de lactancia entre diferentes poblaciones y a través de los tiempos.

RESUMO: Trata-se de uma revisão integrativa da literatura com objetivo de descrever as redes sociais que apoiam a mulher durante a amamentação. A busca ocorreu no mês de Janeiro de 2014 com os critérios de inclusão: artigos em português, inglês e espanhol, publicadas de 2004 a 2013, disponíveis nas bases Literatura Latino-Americana e do Caribe em Ciências da Saúde e Medical Literature Analysis and Retrieval Sistem on-line, a partir dos descritores "condição social, apoio social, aleitamento materno e família". Encontraram-se 23 artigos em Português e três em Inglês. Após a análise definiu-se três categorias: apoio familiar; apoio dos profissionais de saúde e apoio social. Concluiu-se que o companheiro, as avós e as figuras femininas (irmãs, tias), foram os agentes sociais mais citados pelas mulheres. Os profissionais de saúde formam uma rede de apoio importante na continuidade da amamentação. DESCRITORES:Aleitamento materno; Apoio social; Condição social; Família. SOCIAL NETWORKS THAT SUPPORT WOMEN DURING BREASTFEEDINGABSTRACT: This was an integrative literature review, with the aim to describe the social networks that support women during breastfeeding. The search took place in January 2014 with the following inclusion criteria: articles written in Portuguese, English and Spanish, published from 2004 to 2013, available on the Latin American and Caribbean Health Sciences Literature and Medical Literature Analysis and Retrieval System on-line databases, using the "social conditions, social support, breastfeeding and family" descriptors. Twenty-three articles in Portuguese and three in English were found. After analysis, three categories were defined: family support; support from health professionals and social support. In conclusion, partners, grandmothers and female figures (sisters, aunts) were the women's most cited social agents. Health professionals form an important support network for continuing breastfeeding.

578Rev Bras Enferm, Brasília 2012 jul-ago; 65(4): 578-85. aBStRaCt The objective was to analyze the risk factors associated with neonatal mortality in the city of Serra, ES. We studied nonconcurrent cohort, using the technique of Linkage that relate the 32.275 live births with 273 neonatal deaths occurred in the period from 2001 to 2005, using data from SINASC and SIM. After adjustments in the logistic regression, factors associated with mortality were: uneducated mothers, maternal age <15 years and > 35 years old, born in a public hospital, no prenatal consultation, birth weight. Key words: Neonatal Mortality; Risk Factors; Information Systems. ReSUmeNObjetivó-se analizar los factores de riesgo asociados a la mortalidad neonatal en la ciudad de Serra, ES. Se realizó un estudio de cohorte no concurrente, utilizando la técnica de vinculación que pareó los 32.275 nacidos vivos con 273 muertes neonatales ocurrieron en el período comprendido entre 2001 y 2005, con datos de SIM y SINASC. Después de los ajustes en la regresión logística, los factores asociados a la mortalidad fueron madres sin educación, edad materna <15 años y > 35 años, nacimiento en hospital público, ninguna consulta prenatal, peso al nacer.